<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
		<meta http-equiv="X-UA-Compatible" content="IE=8" />
			<title><!--%nom_fonction%--></title>
			<link rel="stylesheet" type="text/css" href="../css/fiche_synthese.css" />
            <link rel="stylesheet" type="text/css" href="../css/fiche_synth.css" />
			<!--[if IE 7]>
            	<link rel="stylesheet" type="text/css" href="../css/ie7.css" />
            	<link rel="stylesheet" type="text/css" href="form_ie7.css" />
            <![endif]-->
 
			<script language="Javascript">
                function modifier(choix)
                {
                    var modifAct = document.getElementById("modifAct");
					var suppAct = document.getElementById("suppAct");
        
        			modifAct.href = '<!--%url_modifier%-->' + choix ;
        			suppAct.href = '<!--%url_supprimer%-->' + choix ;
                }
            //-->
            </script>
	</head>
	<body>
		<div id="sf_menu1">
			<h3><!--%nom_module%--></h3>
			<div id="information_erreur" >
        		<ul id="message">
        			<!--%loop:messages%-->
        			<li><!--%message%--></li>
        			<!--%endLoop:messages%-->
        		</ul>
      		</div>
      	</div>
		<!--/***************************************/-->
		<div class="cleared"></div>
		
		<div class="corps1">
			<div class="btnmiddle">	
			<div class="cleared"></div>
			

      		<div class="imgleft1"></div>
      		
			<div class="imgmiddle1">
			
				<div class="btn">
		        	<span class="btnleft"></span>
		            <span class="btnmiddle"><h5><!--%nom_fonction%--></h5></span>
		            <span class="btnright"></span>
		        </div>
	        
				<div class="btn1">
		        	<span class="btnleft"></span>
		            <span class="btnmiddle"><h5><!--%nom_element%--></h5></span>
		            <span class="btnright"></span>
		        </div>
	        
				<form action="<!--%edit_action%-->" method="post" name="form1" id="form1" >
					<div class="formulaire" >
						<table class="tabform">
					    	<!--%loop:champ_input%-->	
							<!--%if:isset($['label_input'])%-->
							<tr>
							    <td><!--%label_input%--></td>
							    <td><input type="text" name="<!--%input_name%-->" maxlength="<!--%maxlength%-->" class="<!--%class%-->" value="<!--%input_value%-->" size="<!--%size%-->" />
							    </td>
							</tr>
							<!--%endIf%-->
							<!--%endLoop:champ_input%-->
					 	 </table>
					 	 
					 	 <div class="bt">
							<span class="btleft"></span>
				   			 <input type="submit" name="rechercher_contrat" value="Rechercher Contrat" class="resizeall btmiddle"/>
				     		 <span class="btright"></span>
				   	   	 </div>
				   	   	 
				   	   	 <div id="br"></div>
				   	   	 <div class="cleared"></div>
				   	   	 
				   	   	 <div style="border-bottom: 1px solid"></div>
					  	 <div id="br"></div>
				  	  		   
				   	  	 <table class="tabform">	
				   	  	 <!--%loop:champ_input_2%-->	
				   	 			<!--%if:isset($['label_select_1'])%-->
								<tr>
								  	<td><!--%label_select_1%--></td>
								  	<td>
								  		<select name="<!--%select_name_1%-->">
								  			<!--%loop:options_1%-->
								  			<option value="<!--%option_value_1%-->" <!--%if:isset($['selected_1'])%-->selected="selected"<!--%endIf%-->><!--%option_name_1%--></option>
								  			<!--%endLoop:options_1%-->
									  	</select>
								  	</td>
								</tr>
								<!--%endIf%-->
								
								<!--%if:isset($['label_input_2'])%-->
								<tr>
									<td><!--%label_input_2%--></td>
									<td>
										<input type="text" name="<!--%input_name_2%-->" maxlength="<!--%maxlength%-->" class="<!--%class%-->" value="<!--%input_value_2%-->" size="<!--%size%-->" />
									</td>
								</tr>
								<!--%endIf%-->
							
						 <!--%endLoop:champ_input_2%-->
						 </table>
				   	 
					   	  <div class="bt"> 
								<span class="btleft"></span>
						    	<input type="submit" name="rechercher_personne" value="Rechercher Personne" class="resizeall btmiddle"/>
						  	 	<span class="btright"></span>
					  	  </div>
					  	  <div id="br"></div>
					  	  <div class="cleared"></div>
					  	  <div class="cleared"></div>
					  	  <div style="border-bottom: 1px solid"></div>
					  	  <div id="br"></div>
					  	  
					  	  <table class="tabform">
				   		  <!--%loop:champ_input_3%-->
				   		  <!--%if:isset($['label_select_3'])%-->
							<tr>
								<td><!--%label_select_3%--></td>
								<td>
								  	<select name="<!--%select_name_3%-->">
								  		<!--%loop:options_3%-->
								  		<option value="<!--%option_value_3%-->" <!--%if:isset($['selected_3'])%-->selected="selected"<!--%endIf%-->> <!--%option_name_3%--></option>
								  		<!--%endLoop:options_3%-->
									</select>
								</td>
							 </tr>
							 <!--%endIf%-->
							 
							 <!--%if:isset($['label_input_3'])%-->
								<tr>
									<td><!--%label_input_3%--></td>
									<td>
									<input type="text" name="<!--%input_name_3%-->" maxlength="<!--%maxlength3%-->" class="<!--%class3%-->" value="<!--%input_value_3%-->" size="<!--%size3%-->" />
									</td>
								</tr>
							 <!--%endIf%-->
						  <!--%endLoop:champ_input_3%-->
						  </table>
				   	  
				   	  	  <div class="cleared"></div>
				   	  	  <div class="bt">
								<span class="btleft"></span>
					    		<input type="submit" name="rechercher_reference" value="Rechercher Référence" class="resizeall btmiddle"/>
					    		<span class="btright"></span>
					  	  </div> 
					</div>
			 	</form>
			
			</div>	<!-- fin imgmiddle1 -->
			<div class="imgright1"></div>
			
			<div class="cleared"></div>
		
			<!--%if:<!--%bretour_liste%-->
			<div class="bt">
				<a href="<!--%url_retour_liste%-->">
					<span class="btleft"></span>
					<span class="btmiddle">&nbsp;Retour</span>
					<span class="btright"></span>
				</a>
			</div>
			<!--%end if:<!--%bretour_liste%-->	
			
	 		</div> <!-- fin div btnmiddle -->
	 		
		</div> <!-- fin div corps1 -->
	</body>
</html>

